Job Description

Position Overview

Devoted Care Hospice is seeking an experienced and detail-oriented Licensed Vocational Nurse (LVN) with hospice experience to serve as our QAPI Nurse.

This role is essential to maintaining regulatory compliance, supporting clinical excellence, and ensuring interdisciplinary documentation consistently meets Medicare Hospice Conditions of Participation (CoPs) and payment eligibility requirements. To strengthen audit credibility and ensure quality review remains grounded in real-time clinical practice, this position will also provide occasional clinical field support to RN Case Managers during periods of lower audit volume. Maintaining active patient care involvement allows the QAPI Nurse to align documentation standards with current bedside practice and reinforces clinically informed compliance oversight.

The ideal candidate combines strong hospice clinical knowledge with exceptional documentation review skills, attention to detail, and a commitment to quality improvement.

Primary Responsibilities

QAPI & Compliance Oversight

Perform detailed review of interdisciplinary documentation including:
- Nursing
- Social Work
- Chaplain
- Hospice Aide
- Therapy services (as applicable)
Ensure documentation consistently supports:
- Hospice eligibility and continued appropriateness
- Clear and defensible decline trajectory
- Symptom burden and terminal prognosis
- Compliance with Medicare Hospice Conditions of Participation
Identify documentation gaps impacting regulatory compliance or reimbursement
Provide real-time feedback and documentation coaching to clinical staff
Assist with chart audits, ADR preparation, and survey readiness activities
Review certifications, recertifications, and supporting clinical narratives for accuracy and compliance
Track documentation trends and participate in agency Quality Assurance and Performance Improvement (QAPI) initiatives
Collaborate with clinical leadership to maintain continuous survey readiness
Initial review and ensuracnce of HOPE compliance.

Clinical Field Support

Provide occasional patient visits during downtime hours to support RN Case Managers
Assist with routine hospice visits within LVN scope of practice
Reinforce documentation best practices during clinical care delivery
Support continuity of care and interdisciplinary collaboration
Serve as a clinical resource promoting hospice standards of care

Qualifications

Active Texas LVN license in good standing
Hospice experience required (minimum 1–2 years preferred)
Strong understanding of:
- Hospice eligibility criteria
- Documentation supporting terminal prognosis
- Decline trajectory and hospice appropriateness
- Medicare Hospice Conditions of Participation
Experience in chart auditing, compliance review, or quality improvement preferred
Strong organizational, analytical, and critical thinking skills
Ability to work independently while collaborating with interdisciplinary teams
Excellent written and verbal communication skills
EMR proficiency required (WellSky/Kinnser experience preferred)

Schedule

Full-Time
Monday – Friday
Daytime hours
Primarily office-based with occasional field visits
No weekends or on-call requirements

Why Join Devoted Care Hospice

Mission-driven hospice organization focused on compassionate, high-quality care
Supportive leadership and collaborative team environment
Meaningful role influencing agency-wide clinical excellence
Stable weekday schedule
Opportunity to grow within hospice quality and compliance leadership

Devoted Care Hospice Inc

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